Analyzing A Patient Experience: Preventing Falls And Harm From Falls In An Essay.

Instructions:

Within your reflection aim to draw upon relevant literature/theory to help you analyse this patient experience with the goal to improve the care experience of patients and their families.

Drawing upon relevant literature (theory) will support and strengthen your reflection.

Examples of relevant literature you could draw from would include:Theory taught this semester. For example the weekly NUR1201 topics such as nursing governances and nursing philosophies that guide the application of nursing care practice, and other related theory such as the National Safety and Quality Health Service Standards and partnering in care ‘action’ strategies. Aim to also include relevant theory linking to this patient experience topic - Preventing falls and harm from falls andMy health record(e-health record).

Other relevant literature (peer reviewed journal articles) you have researched, using the USQ library data bases

2.Feelings and Thoughts:

Describe and examine your feelings and thoughts in response to your description. Identify the values and beliefs that connect you to your feelings and thoughts and evaluate your response to the patient’s experience in terms of those feelings and thoughts. For example, why did you feel that way?(Link your response back to stage 1)

Write in first person here.
Write one paragraph here (no dot points)
This first sentence of your paragraph should provide the main point.

The remaining sentences –describe and examine your feelings and thoughts in response to your description. the values and beliefs that connect you to your feelings and thoughts and evaluate your response to the patient’s experience in terms of those feelings and thoughts.

Values and Beliefs: (guide only 120 words)Describe some values and beliefs of yours that may have impacted on your feelings and thoughts about what went on. Afterreflecting about the ‘values and beliefs’ that connect to your feelings and thoughts, identify where these values and beliefs originate from? Why are these values and beliefs important? Who are they important to and why?
 

Description:

Falls cause serious issues at any age, but in the case of older people, these are more dangerous as they are more likely to fractures (Palvanen, et al., 2014). In medical science, falls are the accidental incidents which may cause a serious harm to human health. Therefore, falls must be prevented at the topmost priority (Tricco, et al., 2017). Harms and other consequences of falls can be described with the help of a case study. In this discussion, there is a case study of 75-year-old William who had experienced a fall and shared his experience. This discussion is supported by theories like resource dependency, institutional, and population ecology theory.

Description: Falls of any kind cause a serious harm to the body and sometimes may cause permanent damages as well (Liu, You, Lu, & Chen, 2015). In the given case study, Mr. William Taylor shared his experience about all the case scenario of his injuries he got with an accidental fall. He said that this falls occurred when he was returning back home from his routine morning walk. He tripped over a price of concrete and got several injuries. In this accident, he flopped into a gutter which took off his sin from his nose and chin. Also, his right shoulder got wrecked and his left elbow skin was peeled off. In the treatment context of this fall, his experience was very bad with public hospitals as he described his past experience. In his past experience of a public hospital, he had to wait for a long time period of 11b hours before he got to see by a practitioner.

I think Mr. William’s experience justifies his decision to not to visit a public hospital for the treatment of his accidental fall. In my opinion, his falls were very serious and he got some serious injuries as well. In such situations, I think visiting a doctor would be beneficial but the past experience like how he had to wait for 11 hours before got seen by a doctor, made me think he took a right decision. I believe that if we do not get any response at some place then we should avoid such actions if we can handle it with more comfort.

Feelings: In my opinion, Mr. William felt more comfortable being in pain at home rather than visiting a public hospital as he knew that he will have to wait over there too. I think he believes in being comfort zone as much as possible. I think experiences he had in past made him stay at home for the whole night and in the morning as well. I would have done the same if I had such experience. But at some point, I think he could visit the hospital in a hope that he might get a quick treatment. This would have helped him to take some preventing actions responding to his injuries.

Feelings:

I believe in caring older people first as it is hard for them to wait for treatment and being in pain for a longer time, in this case scenario the patient had wait for many hours before meeting to a doctor, this was against my values and impacted my feeling more. The older people have right to be treated earlier as possible as other do, therefore priority should have given to Mr Willams.

Although Mr. William took the right decision in his opinion, the literature suggests that some practices are resource dependent and so their outcomes. Resource dependency theory suggests that resources are the key elements of an organization; therefore, operations of the organization are dependent on its resources and their availability (Yeager, et al., 2014). In nursing practices, the time taken to attend a patient depends on the available practitioners at that particular time point. This suggests that it might be possible that at the time he visited the public hospital, the hospital may have fewer practitioners to attend him. And this time he might get a quick response in the same hospital. And as described Mr. William's injuries were serious he should have visited a hospital as soon as possible (Moss, Good, Gozal, Kleinpell, &Sessler, 2016).

Evaluation: This study emphasizes the caretaking process of public hospitals and patient's perception towards the healthcare facilities. Falls cause serious harms and people must take care of injuries, due to falls immediately. In this case services and management of public hospitals have been identified as negative indicators impacting the future change in the public healthcare sector. Inefficient management and less effective services will drag the public health care to a low level where people will hesitate while taking service of public healthcare organizations (Busse, Aboneh, &Tefera, 2014). Mr. William, in this case, avoided taking service of the public hospital because of his bad experience in the past. This experience was the reflection of services and management of public hospitals which were not up to the mark. If such practices are ignored continuously then public health care will lose its efficiency and health issues will arise more and more. To make a healthy society, the efficiency of public health care institution must be improved for future sustainability (Dietz, et al., 2015).

Analysis: From this scenario some it is identified that authorities can employ more staff as nursing practitioners in public healthcare institutions and adopt technology to attend patients with more efficiency. Some of the aspects of care were inadequate because, Mr wiliams experienced an serious accident which injured him critically, especially at this age the patent should be provided with instant treatment so that he can feel relax in his pain, but the patient did not receive fast treatment and he had to change his mind to visit that hospital gain there for the care aspects were inadequate. For example the instant treatment might have provided him cure timely and could have built trust in the hospital facilities. Experience shared by Mr. William shows that healthcare institutions use technology to examine the exact cause as well as to cure some diseases. These aspects of healthcare institutions are identified as a positive indicator for public health care services. These indicators will direct the future services of public health care institutions towards more efficient as well as effective services to build a healthy society. In the future, more nursing staff will serve better and will take care of patients efficiently. Also, the use of new technology will make it easier for practitioners to access more people at a time to enhance the efficiency of public healthcare institutions.  

Values and beliefs

Action Plan: This whole discussion concludes that falls cause serious injuries to the human body and needed to be treated effectively. Some, barriers to an immediate visit of patients to a public institution are identified and are serious challenges to the public healthcare institutions. Also, different theories given in the literature, support different aspects of patients' perception of public health care services. These aspects need to be evaluated and understood by authorities to improve their services for the development of a healthier society.

Conclusion: In order to remove the negative indicators and implement positive indicators, public health care institutions need a proper action plan describing the actions and their sequence as well. For bet implementation actions plan will suggest to employee more nursing staff in public healthcare institutions. This will take some time of around 3-4 months. Then after these newly appointed staff members should be provided with an essential training program to introduce them to the technical equipment used in health care practices. After a successful training program, these staff members should be appointed to the required institution with a proper facility of technical equipment. This sequential execution of the action plan will definitely improve the healthcare facilities at public institutions and will make people feel happy while visiting these institutions whenever needed.  

References 

Busse, H., Aboneh, E. A., &Tefera, G. (2014). Learning from developing countries in strengthening health systems: an evaluation of personal and professional impact among global health volunteers at Addis Ababa University’s TikurAnbessa Specialized Hospital (Ethiopia). Globalization and health, 10(1), p. 64.

Dietz, W. H., Baur, L. A., Hall, K., Puhl, R. M., Taveras, E. M., Uauy, R., &Kopelman, P. (2015). Management of obesity: improvement of health-care training and systems for prevention and care. The Lancet, 385(9986), pp. 2521-2533.

Fuenfschilling, L., &Truffer, B. (2014).The structuration of socio-technical regimes—Conceptual foundations from institutional theory. Research Policy, 43(4), pp. 772-791.

Liu, H. C., Yu, J. X., Lu, C., & Chen, Y. Z. (2015).Evaluating health-care waste treatment technologies using a hybrid multi-criteria decision-making model. Renewable and Sustainable Energy Reviews, 41, pp. 932-942.

Moss, M., Good, V. S., Gozal, D., Kleinpell, R., &Sessler, C. N. (2016). An official critical care societies collaborative statement: Burnout syndrome in critical care health care professionals: a call for action. American Journal of Critical Care, 25(4), pp. 368-376.

Rasi, K., (2015). Exercise and Vitamin D in Fall Prevention Among Older WomenA Randomized Clinical Trial. Jama Internal Medicine, 175(5), pp. 703-711.

Tricco, A. C., Thomas, S. M., Veroniki, A. A., Hamid, J. S., Cogo, E., Strifler, L., ... & Riva, J. J. (2017). Comparisons of interventions for preventing falls in older adults: a systematic review and meta-analysis. Jama, 318(17), pp. 1687-1699.

Yeager, V. A., Menachemi, N., Savage, G. T., Ginter, P. M., Sen, B. P., &Beitsch, L. M. (2014).Using the resource dependency theory to measure the environment in healthcare organizational studies: A systematic review of the literature. Health Care Management Review, 39(1), pp. 50-65.